Organization
FOX PEDIATRIC & ADOLESCENT DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN NILES FOX D.M.D. (PRESIDENT)
(203) 886-0028
Entity
Organization
Contact information
Practice address
546 S BROAD ST, SUITE 2D, MERIDEN, CT 06450-6600
(203) 886-0028
(203) 886-0035
Mailing address
546 S BROAD ST, SUITE 2D, MERIDEN, CT 06450-6600
(203) 886-0028
(203) 886-0035
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4703
CT
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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